[Reconstructive and restorative operations in iatrogenic injuries of the extrahepatic bile ducts].
The results of diagnosis and treatment of iatrogenic injuries of the extrahepatic biliary tract in 47 patients are analysed. The injury was detected during the operation only in 6 cases, in 41 cases it was revealed on the 1st-6th postoperative day. Intensive conservative therapy was applied in the preoperative period to correct the values of homeostasis and metabolism. Special attention was attached to antibacterial therapy aimed at suppression of ++non-clostridial anaerobic infection. Sixty-three surgical interventions were conducted on 47 patients; 47 of them were restorative or reconstructive, 15 were undertaken for emergency indications, one, for developed postoperative complication. One patient died. Particular importance was attached to adequate draining both in emergency and in reconstructive and restorative operations.
Kadoshchuk
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TA
D000328:Adult; D000713:Anastomosis, Roux-en-Y / Q000379:methods; D002763:Cholecystectomy / Q000009:adverse effects*; D003135:Common Bile Duct / Q000293:injuries* / Q000601:surgery; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects*; D006500:Hepatic Duct, Common / Q000293:injuries* / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013536:Suture Techniques
Rekonstruktivnye i vosstanovitel'nye operatsii pri iatrogennykh povrezhdeniiakh